Evidence map›Paper›PMID 34932998›Full record

ArticleAmerican heart journal2022

Achievement and quality measure attainment in patients hospitalized with atrial fibrillation: Results from The Get With The Guidelines - Atrial Fibrillation (GWTG-AFIB) registry.

Aditya J Ullal, DaJuanicia N Holmes, Barbara L Lytle, Roland A Matsouaka, Shubin Sheng, Nihar R Desai, Anne B Curtis, Margaret C Fang, Pamela J McCabe, Gregg C Fonarow and 6 more

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in American heart journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Synthetic Data for the Get With The Guidelines-Stroke Registry.Journal of the American Heart Association · 2025
    Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 8 institutions in 1 country.

Aditya J UllalDepartment of Medicine, Stanford University School of Medicine, Stanford, CA; Veterans Affairs Palo Alto Health Care System, Palo Alto, CA.
DaJuanicia N HolmesDuke Clinical Research Institute, Duke University Medical Center, Durham, NC.
Barbara L LytleDuke Clinical Research Institute, Duke University Medical Center, Durham, NC.
Roland A MatsouakaDuke Clinical Research Institute, Duke University Medical Center, Durham, NC.
Shubin ShengDuke Clinical Research Institute, Duke University Medical Center, Durham, NC.
Nihar R DesaiCenter for Outcomes Research and Evaluation, Yale School of Medicine, New Haven, CT.
Anne B CurtisDepartment of Medicine, University at Buffalo, Buffalo, NY.
Margaret C FangDepartment of Medicine, University of California San Francisco, San Francisco, CA.
Pamela J McCabeMayo College of Medicine, Mayo Clinic, Rochester, MN.
Gregg C FonarowDivision of Cardiology, David Geffen School of Medicine at UCLA, Los Angeles, CA.
Andrea M RussoDepartment of Medicine, Cooper Medical School of Rowan University, Camden, NJ.
William R LewisMetroHealth Campus, Case Western Reserve University, Cleveland, OH.
Paul A HeidenreichDepartment of Medicine, Stanford University School of Medicine, Stanford, CA; Veterans Affairs Palo Alto Health Care System, Palo Alto, CA.
Jonathan P PicciniDuke Clinical Research Institute, Duke University Medical Center, Durham, NC.
Mintu P TurakhiaDepartment of Medicine, Stanford University School of Medicine, Stanford, CA; Veterans Affairs Palo Alto Health Care System, Palo Alto, CA; Center for Digital Health, Stanford University School of Medicine, Stanford, CA.
Alexander C PerinoDepartment of Medicine, Stanford University School of Medicine, Stanford, CA; Veterans Affairs Palo Alto Health Care System, Palo Alto, CA; Center for Digital Health, Stanford University School of Medicine, Stanford, CA. Electronic address: aperino@stanford.edu.
Clinical Research Institute · USVA Palo Alto Health Care System · USCooper Medical School of Rowan University · USMayo Clinic in Arizona · USMetroHealth Medical Center · USUniversity at Buffalo, State University of New York · USUniversity of California, Los Angeles · USUniversity of California, San Francisco · US

Funding

MAESTRO-PAF for Major Adverse Events and Stroke in Paroxysmal Atrial FibrillationR01HL128595 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI CHENG, ALAN, GUALLAR, ELISEO · 2016 to 2019
$3.1M
Use and outcomes of anticoagulants for the treatment and prevention of thrombosis among hospitalized patientsK24HL141354 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI FANG, MARGARET C. · 2018 to 2022
$731k
NHLBI NIH HHS K24 HL141354NHLBI NIH HHS R01 HL128595
6 · The paper itself

Abstract

backgroundThe Get With The Guidelines - Atrial Fibrillation (GWTG-AFIB) Registry uses achievement and quality measures to improve the care of patients with atrial fibrillation (AF). We sought to evaluate overall and site-level variation in attainment of these measures among sites participating in the GWTG-AFIB Registry.

methodsFrom the GWTG-AFIB registry, we included patients with AF admitted between 1/3/2013 and 6/30/2019. We described patient-level attainment and variation in attainment across sites of 6 achievement measures with 1) defect-free scores (percent of patients with all eligible measures attained), and 2) composite opportunity scores (percent of all eligible patient measures attained). We also described attainment of 11 quality measures at the patient-level.

resultsAmong 80,951 patients hospitalized for AF (age 70±13 years, 47.0% female; CHA

conclusionsDespite high overall attainment of care measures across GWTG-AFIB registry sites, large site variation was present with meaningful opportunities to improve AF care beyond OAC prescription, including but not limited to prescription of aldosterone antagonists in those with AF and systolic dysfunction and avoidance of non-indicated adjunctive antiplatelet therapy.

Indexed as

Atrial FibrillationStrokeAgedAged, 80 and overAnticoagulantsFemaleHospitalizationHumansMaleMiddle AgedQuality Indicators, Health CareRegistriesRisk FactorsAnticoagulants

Identifiers

PMID34932998
PMCPMC11410360
OpenAlexW4200220639

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.